| [ Summary ] |
It has been more than 20 years since the effectiveness of hypothermal dialysis for treatment of intradialytic hypotension was first reported. It is known that peripheral vasocon striction by the autonomous nervous system plays a part in hypothermal dialysis. Recently, with the development of body core temperature monitors, it has been shown that with dialysis solutions at a temperature of around 37 degrees centigrade, intradialytic body temperatures increase and because of this, blood vessels dilate, thus playing a role in intradialytic hypotension. It is believed that hypothermal dialysis provides a means for avoiding an increase in body temperature and dilation of blood vessels due to heat dissipation. In cases where the treatment of intradialytic hypotension is difficult, even with dry weight adjustments and control of weight gain between dialysis, hypothermal dialysis is a good method to try even though it may be accompanied by chills and trembling. |